• Skip to main content
  • Skip to header right navigation
  • Skip to site footer

Log in
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
www.sages.org

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Awards
    • Who Is SAGES?
    • Leadership
    • Our Mission
    • Advocacy
    • Committees
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Committee Rosters
      • SAGES Past Presidents
  • Meetings
    • SAGES NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2026 Scientific Session Call for Abstracts
      • 2026 Emerging Technology Call for Abstracts
    • CME Claim Form
    • SAGES Past, Present, Future, and Related Meeting Information
    • SAGES Related Meetings & Events Calendar
  • Join SAGES!
    • Membership Application
    • Membership Benefits
    • Membership Types
      • Requirements and Applications for Active Membership in SAGES
      • Requirements and Applications for Affiliate Membership in SAGES
      • Requirements and Applications for Associate Active Membership in SAGES
      • Requirements and Applications for Candidate Membership in SAGES
      • Requirements and Applications for International Membership in SAGES
      • Requirements for Medical Student Membership
    • Member Spotlight
    • Give the Gift of SAGES Membership
  • Patients
    • Join the SAGES Patient Partner Network (PPN)
    • Patient Information Brochures
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find A SAGES Surgeon
  • Publications
    • Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Sustainability in Surgical Practice
    • SAGES Stories Podcast
    • Patient Information Brochures
    • Patient Information From SAGES
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • MesSAGES – The SAGES Newsletter
    • COVID-19 Archive
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • Avoid Opiates After Surgery
    • SAGES Subscription Catalog
    • SAGES TV: Home of SAGES Surgical Videos
    • The SAGES Safe Cholecystectomy Program
    • Masters Program
    • Resident and Fellow Opportunities
      • MIS Fellows Course
      • SAGES Robotics Residents and Fellows Courses
      • SAGES Free Resident Webinar Series
      • Fluorescence-Guided Surgery Course for Fellows
      • Fellows’ Career Development Course
    • SAGES S.M.A.R.T. Enhanced Recovery Program
    • SAGES @ Cine-Med Products
      • SAGES Top 21 Minimally Invasive Procedures Every Practicing Surgeon Should Know
      • SAGES Pearls Step-by-Step
      • SAGES Flexible Endoscopy 101
    • SAGES OR SAFETY Video Activity
  • Opportunities
    • Fellowship Recognition Opportunities
    • SAGES Advanced Flexible Endoscopy Area of Concentrated Training (ACT) SEAL
    • Multi-Society Foregut Fellowship Certification
    • Research Opportunities
    • FLS
    • FES
    • FUSE
    • Jobs Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • OWLS/FLS
You are here: Home / Abstracts / Hiatal Hernia Recurrence Rate and Durability after Magnetic Sphincter Augmentation in Patients with Large Hiatal Hernias and Gastroesophageal Reflux Disease

Hiatal Hernia Recurrence Rate and Durability after Magnetic Sphincter Augmentation in Patients with Large Hiatal Hernias and Gastroesophageal Reflux Disease

Kais A Rona, MD1, Alex Yu, BS1, Caitlin Houghton, MD, FACS2, Nikolai Bildzukewicz, MD, FACS2, John C Lipham, MD, FACS2. 1Keck School of Medicine of USC, 2Keck Hospital of USC

INTRODUCTION: We have previously demonstrated excellent short-term outcomes following concomitant hiatal hernia repair (HHR) and magnetic sphincter augmentation (MSA) in patients with gastroesophageal reflux disease (GERD) and large hiatal hernias. The objective of our study was to report the efficacy and durability of this approach with respect to hiatal hernia recurrence, need for anti-secretory medications, and control of reflux symptoms.

METHODS AND PROCEDURES: This is a retrospective review of prospectively gathered data in all patients who underwent MSA and formal HHR at our institution between May 2009 and December 2015. Large hiatal hernias were measured intra-operatively and defined as those hernias measuring ≥ 3 cm. All patients underwent formal hiatal dissection with posterior cruroplasty. Surveillance for hiatal hernia recurrence was performed with a videoesophagram (VEG) and/or esophagogastroduodenoscopy (EGD) at 6 months, and yearly thereafter. Primary endpoints included hiatal hernia recurrence, proton-pump inhibitor (PPI) elimination rate, and GERD Health-Related Quality-of-Life (HRQL) scores.

RESULTS: 41 patients were identified who underwent HHR of a large hiatal hernia with concomitant MSA. Mean pre-operative DeMeester score was 52.4 (± 5.5) and mean hiatal hernia size was 4.0 cm (range 3-7 cm). Twelve patients (29.3%) were diagnosed with Barrett’s esophagus preoperatively. There was a significant decrease in GERD-HRQL score (19.6 vs. 2.8, p=0.036) with a PPI elimination rate of 92.7% following surgery. All patients underwent VEG (43.9%) and/or EGD (56.1%) to evaluate for hernia recurrence over a mean follow-up time of 15.1 months (range 6-38 months). One asymptomatic recurrence (2.4%) was diagnosed with a VEG at 11 months post-MSA.

CONCLUSION: Magnetic sphincter augmentation with a full hiatal dissection and posterior cruroplasty appears to be a durable and effective approach with a low hernia recurrence rate in patients with gastroesophageal reflux and a large hiatal hernia.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 78720

Program Number: S080

Presentation Session: SAGES Got Talent : Resident & Fellow Scientific Session

Presentation Type: ResFel

72

Share this:

  • Click to share on X (Opens in new window) X
  • Click to share on Facebook (Opens in new window) Facebook
  • Click to share on LinkedIn (Opens in new window) LinkedIn
  • Click to share on Pinterest (Opens in new window) Pinterest
  • Click to share on WhatsApp (Opens in new window) WhatsApp
  • Click to share on Reddit (Opens in new window) Reddit
  • Click to share on Pocket (Opens in new window) Pocket
  • Click to share on Mastodon (Opens in new window) Mastodon
  • Click to share on Threads (Opens in new window) Threads
  • Click to share on Bluesky (Opens in new window) Bluesky

Related


sages_adbutler_leaderboard

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064

1-310-437-0544

[email protected]

Monday – Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Bluesky
  • X
  • Instagram
  • Facebook
  • YouTube

Copyright © 2025 · SAGES · All Rights Reserved

Important Links

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals